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Oklahoma rates for HCPCS L1690

Combination, bilateral, lumbo-sacral, hip, femur orthosis providing adduction and internal rotation control, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,107.55 / $1,107.55 / $1,632.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,066.53 / $1,107.55 / $1,248.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,672.24 / $2,051.01 / $2,051.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.55 / $1,300.55 / $1,300.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$949.40 / $949.40 / $2,701.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$670.35 / $1,426.31 / $10,889.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.24 / $1,116.45 / $2,316.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.24 / $1,056.15 / $1,489.67